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HomeMy WebLinkAbout0305 HOLLY POINT ROAD - Health 305 HOLLY POINT ROAD Centerville A = 232 — 068 2///] SME,.ADd KEEPING YOU ORGANIZED No. 12534 2-153M a mum Q�TOR�AN(�AtS11EhDr001' TOWN OF BARNSTABLE r� LOCATION .3®S 1 &I G/W) s� SEWAGE#20/q 30 gg VILLAGE ASSESSOR'S MAP&PARCEL 23.2 —0 0 INSTALLER'S NAME&PHONE NOS Th LSC�1L g P/0 f� SEPTIC TANK CAPACITY Q a LEACHING FACILITY:(type) ,lQnp LPSP IO�w (size) 7 x AA k NO.OF BEDROOMS OWNER 3 S ��t' ��iy� L IC PERMIT DATE: 2 0— Ig COMPLIANCE DATE: -_0 Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility X Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) Feet FURNISHED BY J' �SCo/l 6�Ct V5 3 � � q v3.3 �s � q4, s' it Jv }a 6 Town of Barnstable �ntr Inspectional Services • BARNSCFBIE,t Public Health Division Thomas McKean,Director �'rFb' s 200 Main Street,Hyannis,MA 02601 Office: 508-862.4644 Fax: 508.790.6304 Installer&Designer Certification Form Date: Z-)2-2° Sewage Permitf4 ZO19-?S'O I g Assessor's MapTarcel ,)!2.I(�� Designer: CSN [gi�ee Installer: 3 \7r Seo) Address: !PO � I Address: reiaSdf M� 7263j hZarnS�cnS /fir:%/S /YtFI T On rz Galt was issued it permit to install a (date) (installer) septic system at_305 Pp 111 based on a design drawn by (address) GSU E7() er,n dated S (designer) --V—/—I certify that the septic system referenced above was installed substantially according to the design,which may include minor approved changes such as lateral relocation of the distribution box andlor septic tank. Strip out(if required)was inspected and the soils were found satisfactory. _I certify that the septic system referenced above was installed with major changes(i.e, greater than 10'lateral relocation of the SAS or any vertical relocation of any component of the septic system)but in accordance with State&Local Regulations. Plan revision or certified as-built by designer to follow. Strip out(if required)was inspected and the soils were found satisfacto Ice that the m referenced above was constructed in corn fiance with the to rms of t I approv ers(ifapplicable) �ytH OF,tq t'N 9n1 ler's ig ture) o CRO,. U f / (Designer's Signature) (Affix Here) PLEASE RETURN TO BARNS'fABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARll ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. \tioeWcputH1!ALTI HEWER co-cos EP"naDes19m CenIfiealion Form Rev S.14-13.DOC o?o(� - ��� / S- No. Fee / THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: y Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01ppficatiou for Migofsal *pgtem Cow5truction Permit Application for a Permit to Construct( )Repair( : )Upgrade(Y)Abandon(X) WComplete System ❑Individual Components Location Address or Lot No..30—"Rea �j�2a1, Owner's Name,Address and Tel.No. /CrG`tV7'E=R✓6 GG C 3Ca3°' f10Le y�DiL�)r 4 e- Assessor'sMap/Parcel r 3 2 — 0r (/ r��D V Y� a ftJdl f 11,*tq /�c3 Installer's Name,A40dress and Tel.Tio._ 4WCACP"_ Designer's Name,Address and Tel.No. 10 44Fv b 7� 'CO/ J$4 X Al R. lC>S.V E�tGIf/ ie�Qlra "Le19i�e'fLlri 1/�'l(�� � v /oe7�3oyC ,2Q/ Type of Building: Dwelling No.of Bedrooms 13 Lot Size ZC 194 9 sq.ft. Garbage Grinder( ) Other Type of Building No. of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 330 gallons per day. Calculated daily flow �� if gallons. Plan Date •r .9%49 Number of sheets /` Revision Date Title ;%� d sL IJ�C- -�/nDot o-G- tS titSrE"�J Size of Septic Tank Ar Type of S.A.S. C -Y,4A .?C4 6 Description of Soil �: e- 014—�el le 4 YZ,+V i Nature of Repairs or Alterations(Answer when applicable) AB A V Da t! trhQS7E�21 "�Li¢G� SOS O� Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of 'tl of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been i u t oard of He Signed Date Application Approved by Date Application Disapproved for the following reasons Permit No. got Date Issued r�� o/ } U 06 u 1; No.^ t` + '{ k# � ,�..� 1 Fee / THE COMMONWEALTH OF MASSACHUSETTS` Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLES MASSACHUSETTS 01pprtcation for Mi,5�oml Op5tem CConaruction Permit Application for a Permit to Construct( )Repair( )Upgrade(X)Abandon(X) f Complete System ❑Individual Components Location Address or Lot No. p/_(, p'j,-�. Owner's Name,Address and Tel.No.F - .JH �C�G'NrL"/�'✓lGL 'C2S- 0bLCy js�lAl7"'LGC' Assessor's Map/Parcel /d D GOB ,L� ") 3a �- O(ok �� ,�, �A �1/�Installer's Name,Address and Tel o. \� / /sue Desig1ner's Name,Address and Tel.No. .1_ 'a WG /7 FF.?F7`l OAPI .C .�4/L T. C' Oil/.ill �4�E�(�SM EAIG/�E C'/tlG 4400*CS L"t t l is WI% _ /00 A30X .242/ R/VI_54t5*�, 11w oLG3/ Type of Building: , Dwelling No.of Bedrooms .3 Lot Size /-r 6G sq.ft. Garbage Grinder Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow 3'�+f gallons. Plan Date -4-1/9`// Number of sheets Revision Date Title E: /,sf�, Lys tS,tSTEr�'l Size-of Septic Tank /'s"ao Type of S.A.S. Description of Soil �S �` /'//S95/�r / SLR'✓ //''� P L Nature of Repairs or Alterations(Answer when applicable) A Fti ill 7)-::�,4l /i , Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system i in accordance with the provision of of the Environmental Code and not to place the system in operation until a Certifi-__ "_ cate of Compliancehasbeenij��1� �)41­4 t�of Signed `^Y Date Application Approved by c Date (o 2 U' Application Disapproved for the following reasons Permit No. got Date Issued J-1 THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance 3 3 0 THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired ( )Upgraded (X) Abandoned'( )by at 0&-A17 eF-A v'/r-Z---E has been constrVcted in accordance with the o ij'o s o e 5 an for Disposal System Construction Permit No.�a 9 '- '��y dated Installer/ Designer L/-VZA E', The issua /n�o-this pe4mit hall not be construed as a guarantee that the syst�/l function a designed. Date ;2 1 �� 7 Inspector U 1cs ——— —------ No. Fee r THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS Di5pont *pgtem Construction Permit Permission is hereby granted to Construct( )Repair( )Upgrade( )Abandon( ) System located at 04— IN e /''' 141T oe�- , ���r/T �'✓i c G E' and as described`in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Construction must be completed within three years of the date of thisp-tan"rt Date:_ '��'l ( Approved by Town of Barnstable �p1HE Regulatory Services Richard V. Scali,Director d BARNBTABM ; Public Health Division 19 ��� Thomas McKean,Director 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Homeowner Certification Form for Alternative Systems Property Address: Jof- Ff.7cL4 -fy: T rQ,0R.ba c�� NTE`iL t�IG4� Assessor's MaplParcel: A 3 X k�g Property Owners Name: OoLz !� '011V T In accordance with Massachusetts DEP alternative system approval letters, the following certification information is required by the Owner of record. The Owner of record must place an 'Y' in the applicable box next to each line certifying the information. Yes N1A ❑ I have been provided a copy of the Title 5 I/A technology Approval letters. { (15 page Standard Conditions letter and the specific technology letter) ❑ j$1 I have been provided with the Owner's Manual `i ❑ I I have been provided with the Operation and Maintenance Manual U For Systems installed under a Remedial Use Approval,I agree to fulfill my responsibilities to provide a Deed Notice as required by 310 CMR IS.287(10) and the Approval ❑ For Systems installed under a Remedial Use Approval,I agree to fulfill my responsibilities to provide written notification of the Approval to any new Owner,as required by 310 CMR 15.287(5) I ❑ If the design does not provide for the use of garbage grinders, the restriction is understood and accepted �] -O Whether or not covered by a warranty,I understand the requirement to repair,replace, modify or take any other action as required by the Department or the LAA,if the Department or the LAA determines the System to be failing to protect public health and 4 safety and the environment,as defined in 310 CMR 15.303 l? 1� d 0 L/ gree to comply with all terms and conditions above. Property 0 77 tinted name Lie Prop Owne ignature / Dnte ; Note: This farm must be submitted along with the septic system disposal works permit application for all I1A-systems including new construction, revairsluyarades,_with and . without aggregate (stone) and with conventional design criteria or credited design i criteria. Q:*ptic\LA homeowner certification 2.doc I y a L=20.01 R=506.39 v tL 557'55'40"L a ~ IP FND. Q +3&9 �� , f a 32-1 gYlNG 51RU �DECK ml - , LB wY 1 _� , +4,3.t 0VE +45.9 00 o +43.4 1 S NI N 5 r n r OF44 +44.8 1 ._ APPROXIMATE SEPTIC r,,>` '•' / �`�j� OTC)fQN (TO BE REFLACED) TONE Ct7iP5(TYP) ~ 42__._ PROF05ED IJNGROL TED 40, 5TONE PATIO 50, - O 2'N O V, - a _ w _ J 7 43 R z J - Quz3 ' ifi �-�r mti . O K 4 1n�I ICI n•.I - O � z R«O_OM'ti�IM'e 9'j:pTI 4_._„_M1+' R�'I_•,III .I.�IIjr-,:i __( iI I i tIi __;. ____________1'_ ��.'mi'i'i, C�FZrLCOn_t nan1^[La`L a �J LIn�mrrn KITCHEN DENIO mBATH C 'STUDY .m O GREAT ROOM C2p O EXPANDED II GARAGE I ms }Lo DINING Z J FOYER ROOM Uo _—_—_—____ al J Q2,'J,,1 QpZ �mZIn COVERED T. P.- .. a; j�u Lc QLL1 O J V z >-> 0 -j s Ed p =z z Lj C)U NOTE: mC-1.S CARE _ _ THE 501E PROPERTY THE D R AND CAN NOT e1 CII coPlrD. GENERAL NOTES: FIRST FLOOR PLAN PPF .N L'E s°wr"°ur THE Dlrness'NwTTEN I)CONTRACTOR 15 TO VERIFY ALL[X15NNF,COHOITION5 FIRST FLOOR. 5.f. DESIGNER pF ME D1M1@NSILTI5 PI THE HFLD SECOND FLOOR O SMCTFN:IPBON MOI10VI0'_OTPCTOPS - DESIGNE 21 CONTRACTOR TO VER.IPY NIATEPIOLS.DETAILS t FIHISHE3 GAF<GC s.P, ® nenrocrecrc. 5CALE IN TIP,FIELD—11 C—..R 3.1 ROUGn OPENING HEAD HEIGHT OF WNOOAn3 AT 1/4°=1'-OA F5r FRr,5MA0 PP6-n•ABO THE NIA55AC WINDOW 5CHEDULE WINDOW 5CHEDULE A q.1 nu WOR.r,snqu coN[oeM To THE wp AMIC 115ETTs 51Ar[BUILDING COOP.AND ALL OTH[P.PFFLICABIF TYPE MANUFACTUR.EIM UNfT P.OIIGH OPENING PEMARF-S TYPE MANUPACTURERn UNIT ROUGH OPENING R.LMAFl5 3/4/201 9 LOCAL CODES. 5.1 AIM D15CREPANLIES.ERFOP$AIIOV 0 1551ONS IN THE NOTP.5, A PNO[P$EI1 PN 21052 3'D I/8'x 5'a 2/B' DOUBLEMUNG G PND[P$EM iW 210g2 3'-O 1/0'x q'_q]1B' DOUBLCHLING DIMEIISION5.ANCVOR DRAMMI15 CONTAINED ON THESE OOCUTAENT5 B C 335 6'-O 3/B'13'-5 3/B' CASEMENT H PM 210310 3'-O I/6'.4'.o ne' DOUBLCHUNC PROD:NO. 5nALL BC BPOLLrMT TO THE ATTENTION OF THE DE3IGNEF,MICE,TO G TW 2g42 2'-6 UB'•q'-q 716 DOIIBLENUIIG -21036 3,0 IAB'.3'-e 1/B• Do"BLeHUIIG � 201 9-0 I 1 COMMENCEMENT OF CON3TRLICHON.FROCEEDINC-WON CON3TRUCT1OII 0 T/B' DOUFLE-NG K qW 2 r 2'O 5/B'x 2'q T1B' AWN1uG COII5TITIDE5 ACCEFTANCE OF THEE DOCTIIAENTS AIID All OISCREPANCIM. O >H'2q-010 2'6 I10'.5' ERROR$AND/OR OMI551OI15 BECOME THP,RESI.OIJ51131LD OR THE t TW 2436 2'6 11B'.3'B 716' DOUBLCHUNG 1 3'0 I/2'.2'-q'//A' CUPOLA STAMP: DWG.NO. : BLnLOINf•COIHPAROR. F P 21 2'O 5/B'•2'0 51B' A—ING ' NOTE F CONTRACTOP TO VERIFY ALL OIJAI TN P5 AND 5193 OF I1CW WIND VATH OM1F.F,ANO AA POIXH OFENINC5 WIH1 wINOOW VANUFACTUFER ER OR TO ORDERING OF VnuTIOW9 /\ 1 8Jo(k%iO155 O 5 10 15 2p1. 1 I 1H1 1 `-'B'N10N ti5'A.M1IOOP.0 0[51GF1 CO. w c . -� w c 7 �T i w73n , s,r U Q _rr 7 ito I , .. '.I. m I r _ o M1I �'� l �• I II I 1I1u � O L� FRONT ELEVATION Z = urn 14 14 I4 Ig4�4' 4 co C. -- a C[a o :icoz? BATH Q Co o co 7 3amu? MA$TER! w'I'0'I FAMILY HOME . BEDROOM BATH I ROOM OFFICE I p .. O cn a O (i] 91 LJ 2 Y MA5TEP I I. uOTE: BEDP.00M FOYER BEDROOM me s�rn'e rrsorro r "w ¢4 BATH �I ! at me o[s,oicrt>no earl "'1 I W.I.C. I y tim ee conco. ,�. I exw[ss .mex ' _ ��� I crvstrR or mt oes,ALE DATE sroR. 3/4/2019 o- mm J PPOJ.NO. 2019-OI I STAMP: DWG.NO. SECOND FLOOR PLAN 5 to '5 zn A 2 . �C OM%C )n14 Z S.,inrF/r�vP.hll MO,Irnlnp pv_1[f rnv!i 'MOM4 A.1.1lnOP.0 f)CSk:,I CU OJ U�r 7 d a 7- .. . . ... . . . . u &R I I NEW CRAWL 5 0 z FY15T O d w CRAWL SPACE F- Co- C2 0 -------- ---- 0 r 711 z 0 co -EX15T FULL 0 NEW BA5EMEKV GARAGE a!ao Al'T '0 CL co 9 af —LLJ 0 7- I r 0_j- --------- ccf- ---------- z C 71 -J LLJ 06 Ld LJ C)Lr)LL u) cl) NOTE, me tt!O�G PPOPGrzl OF An— LO`I5&,T OF F,[ 5GALE FOUNDATION/FIRST FLOOR LATE FRAMING PLAN 3/4/2019 0 PROJ.NO. n. "r' 2019-011 11 �7 i F-p'tf n, .STAMP DWG.NO. ICI iq� 10 '5 20 A 1100k,Y.170011!11151rll CO. I a TOWN OF BARNSTABLE LOCAnONa)4- oitl% &I SEWAGE # [ � VILLAGE C n ASSESSOR'S MAP 6i LOT 7o INSTALLER'S NAME & PHONE NO. %1G. SEPTIC TANK CAPACITY `��U C�L LEACHING FACILITYAtype) / , T (size) /,� &ac,, NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER dl BUILDER O OWNER DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: ;. VARIANCE GRANTED: Yes No i ffi� hc ,1+Ar a TOWN OF BARNSTABLE LOCATION All SEWAGE # �� VILLAGE ASSESSOR'S MAP & LOTj INSTALLER'S NAME & PHONE NO. SEPTIC TANK CAPACITY /r�1e1 LEACHING FACILITY:(type) size ( yPe) 2/-17' (size) 0G 4G I NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER BUILDER O OWN R� DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED; VARIANCE GRANTED: Yes No � r . y �s3,'Y9' , , ,:� ''y may' 1[f�, a . No...l.�.:. �. Fes$.. ...3 0.00 . THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH APPROVED Barn®table Conservation Department TOWN OF BARNSTABLE Arrlirtt#ilan duxival Works Tor � �rmt Data Application is hereby made for a Permit to Construct ( ) or Repair (x ) an Individual Sewage Disposal System at: -325...J1o1,3_Y_.2sQi.nt.--mad---C.exLtarui17.e..... .................tP..-- v- ._......- KUn11n Location-Address or Lot No. ......................_.......................................................................... ---------._............................................. ... ------------- "......... .------ J . Owner -.-•.•Address a . Mac.Qm?��x fir- ------ --•--P--....-- Installer Address � Type of Building Size Lot...........................S q. feet V Dwelling�--No. of Bedrooms.............3............................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( ) dOther fixtures ........-----------------------....................................................... ............................................................. W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width_-------------- Diameter---------------- Depth_-_____-____-_-- x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................--................................. Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 44 Test Pit No. 2................minutes per inch Depth of.Test Pit.................... Depth to ground water-----__--__-_--______- 9 •---•--•--------•-•-----•••-----••••-•••.......................•---......---.....-••---••----•---•-•'•--•-------•-.........••-------•--......-•-•-•----.----- 0 Description of Soil...............................................................................a........................................................................................ v --------•-• Sand xajze l--•----------•-------------------••-•-----••-----................---.......------..--- W x ----------------------------------------------------------------------------------------------------------- ---gallon' U 1j%tir,g(9bRepairs or Alterations—Answer when applicable._.............................................................................................. Leach pit. ..................gallcm anl� -------------•-e.a.c_h.. Agreement: - The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Comp 'ance h s , en issued by the oard of health. Signed _ , 12123/91.... - Date �.e�',','�..... . .... ...t •r,..s'`"-tj.-....---............._.-......----------------------------------- L. -.-.a .--�1..._.. Application Approved BY Date Application Disapproved for the following reasons: .. .............. ................................. ......................... ....................................... -- -------------------------------------------------- --- ------------------------------ ---- --------------------- - Dare PermitNo. ............ �. ._,�-7�-- ---- ---....._ Issued ........................................................... .. ---- Date __---------_ qq - Fins , 0 001 THE COMMONWEALTH OF MASSACHUSETTS ' BOARD OF HEALTH TOWN OF BARNSTABLE App iratilan for Disposal Works Toast n&aA"vornift Application is hereby made for a Permit to Construct ( ) or Repair (X ) an Individual Sewage Disposal System at: ut Pr� nt,...R P_ �t�^�r� ] 1n i�lf ' Kumin Location-Address or Lot No. _.... - .......................................... ..........._................................. •re............................................. Owner Address J_.PsM ....................................................... .........---•--................ pa Installer Address Type of Building Size Lot............................Sq. feet Dwelling No. of Bedrooms--------------3............................Expansion Attic ( ) Garbage Grinder ( ) pa, Other—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( ) a' Other fixtures W Design,.Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid*capacity............gallons Length................ Width................ Diameter-----........... Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.......................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 0 P4 .........---••••------------••-•---••------•---------------•......._....-•••-----•-.....•-----....--......................................................... Description of Soil....................................................................................................................................................................... (xj "'t`� &---L'r.,.>�1-------------•-------------"---"--"•--"--"--""-""-"-.-----"--"-----"----..-•-----"----•-------"-------"------"---"--------------•-------•------------ -.......... f42 W ••.......................... U Nature of{��Repairs or Alterations—Answer when applicable.._171000 gallon tank 1-1M0 ga1:1on 1- L'JUU . •. .....................•-••--•-•........... Leach.-pit......-""------"-"•-----"-"""-"•-""......................•••-..... ga---1.(SYY.._"�cl;Yin'---"----"-•---"------------"------------------------•-"--"-••--- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Comp j antejhs, been issued by the board of health. Signed • . �� ........................................ -12_L23/g 1--------- Date Application Approved By �. /a,.--ail.-.1/. ...... ...............................- --------------- Dare Application Disapproved for the following reasons- --------- ---- ---- ----------------------------------------- ----------- ------------------------ ------------------- -------------- -------- ------------- ----- .................... q ------ Date Permit No. 1 7G Issued .. Dace THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Cner#ifirate' of Tontylianre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( X ) by--J.,-P-.Macomb -r--..J.r..---- ---------------------_--------.......--------- In,,alle, ac ..305 Holly Point Road Centerville -- ........................ ..... has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. ----5;7/.-..,5 ..7,4------.----- dated ................................................ THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONST LIED AS A GUARANTEE THAT THE SYSTEM WILL FUNCj�O/N��JS' fly TORY. DATE ------ ._7. > - ------------- Inspector -- --------...................... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE #$ 30.00 No.. �:��1�... FEE........................ Disposal Works Tontr ilan rrmi# Permission is hereby granted ---------J.FMacomber Jr.----"-----------------------•---•----•- to Construct ( ) or Repair ) an Individual Seage Disposal System at No......� 5 1,011Y YUi�� ttut�u �er�tvt=ex-f-lie q.TZ� •------•--------••-•••-........ Street as shown on the application for Disposal Works Construction Permit No., . ..___. ______ Dated.........................................: ....................................... " ------ ........................................... ^ Board of Health DATE"""...""""------/-"•"------d-"-"-"--•... ........................................."""""•......................•--•--_.. FORM 36508 HOBBS&WARREN.INC..PUBLISHERS W � I . � HOLLY aM. p oR� VINE ST .fir `r' j tO L=2o.o1 LOCUS MAP A R=506.39 ~m IF FND._ 40"E ® � Dp 11! 44 �' iy `129.70 +38 Q LOCUS ADDRESS: 305 HOLLY POINT ROAD t45.9 r�o1 1 72• �� f CENTERVILLE,MA 1 /I 1 1 l BRB END. i \ + I ENDOFTOWN.,y'. Ly_ ____--_ / ¢ A55E550R5 MAP 232 PARCEL 68 ERB FND. I——"—T / TCB FND. ---� vyotsrr ; • /ary i REFERENCE CERT: 218274 _ 4-43.1 PLAN REFERENCE:LC 20239G(3) _,- w z / OO LOT 41 -w 1c), p LOT AREA= 15,869�5.F. 1 1 1 .p +45.9 ' p . (P 1 �1 �w n +43.4 `� l N 1 ZONING D15TRICT:RD-I 1 0 {as.o 10 DV✓ELLING -' ( GROUNDWATER OVERLAY D15TRICT:GP O 1 If �` +45.3 I= #305 ( - PLAN LEGEND: - 111 1 �� rn L_ l /. 1 � R5 ,,� / 20 FRONTAGE I}45 >I 5.0 44 +43.6 SPOT GRADE - rn i l I +43.7 AFPRD)aMATE \ I'25'WIDTH 1 ;1 +44.8 SEPrIC qaj UTIUITY POLE 30 FRONT YARD ill ?i P O'51DE AND REAR YARD > 44.9 \ 9 50,FROM MHW �44— \ �BLfF� 6 wETIAND FLAG C '•7_0 ` \ ` 4? _ ✓_�. - _ _oHW oveRneAD w ReS EXISTING LOT COVER BY 5TR0CTURE5= 1846- �)N----WATER 5ERVICE LINE . \ 42.5 A2 1', 5TONE CHIPS(TYP) R 42= E%15nNG CONTOUR FEMA ZONE:T'(0.2%) ' 40,E FIRM MAP:25001 C0562J 5_— MAP DATE:JULY 16.2014 BM C5 FUR- ��--- /y� RECORD PROPERTYOWNER5: '• ate, �11 J EL.a 1.r NAwae ���T,yo 305 HOLLY POINT LLC A\ yi y L=40.74 120— N ROAD 38- EVIFFE 38 WABAN M0 A0268 40 R-30.00�_ R \9R �n" �•+36.9 \��� WETLAND CONSULTANT: 112j \ �s %NAG, 36- � ARLENE WILSON IY•k o ,__ 5WALC,% e \ + A.M.WIL50N A55OCIATE5.INC \t38.9 / -=�--_ eroGE 1 ` 20 RA5CALLY RABBIT ROAD 6, MAR5TON5 MILL5,MA02648 N82°35'OdNV 75.80' eAv =__ ny 505 420-5792 �'!!l paNI MFi,7 0 _ --+36.5 "— ! 36- EXI5TING CONDITIONS PLAN \ / — EDW e3 A a PAVE Er r`\ PREPARED FOR Eowal Ei 2 or 34 a #305 HOLLY POINT ROAD 34— \ _ F CENTERVILLE,MA55ACHU5ETT5 DATE:DECEMBER G.2015 WEQUAQUET LAB 5CALE: 1'=20' 0 20 40 Feel PLAN REVI51ON5: ^:rl ^`•> a 5TEPHEN DOYLE AND A550CIATE5 •� : '/�` P O BOX G2 1 a< EA5T FALMOUTH, MA55ACHU5ET750253G ),Sr.i`t TELEPHONE:505 540-2534 j 5JD5URVEYQAOLCOM I TOP OF FOUNDATION 24"diameter concrete covers Centerville, EL=46.4 raised to within 6 often h rade TWENTY EIGHT(28)ADS ARC3GHC PG I GBD2) (orasnoted) g Inspection Port and cap with magnetic LEACH CHAMBERS IN BED CONFIGURATION LEGEND 4 �: \ MA ti N= t marking tape to wrthm 2 5 3"of grade ' N r 8 U . 40 md. HDPEImer(see Note#23) EXISTING SPOT GRADE 1 \ s � EristmgEL=43.5+ EL=43.4± EL=4/,2(minI-43,4(max) 24x5 PROPOSED SPOT GRADE �, WEQUPAQU5 ! - PLAN LEGEND: --- EXISTING CONTOUR ® ' � o \A /I \,\\f� j -24- PROPOSED CONTOUR >- w WATER SERVICE LINE ``�� �� �'� t0 +43.G SPOT GRADE HOLLY 42.4± m " o OVERHEAD UTILITY LINES 41.7E u UNDERGROUND UTILITY LINES 40,4± m 2ti UTIUTY POLE G - GAS SERVICE LINE �v TOP Of BANK Q 4/�n) n 4/.25 a ;; _ G 4 4/.00 40.37 w in b WETLAND FLAG -- LIMIT OF WORK LOCU5 N N 40.20 40.00 � D--Box j" xh al"k �= �- -� EDGE OF CLEARING Gas Baffle 39./O s 1 Q �� _" M _otlw" OVERHEAD WIRES - FENCE VINE 5 fiIP CATION TEST HOLD LO :..:. ...,.... .....•.. :......•. . _.:_ Lon est Run 5,/'± ____w ST SEPTIC TANK cn r WATER SERVICE LINE g 7WENTYEI6h'1 (28)AD5 ARC36/�C \ ,,� 1 vs� s a� DB-6 LEACH CtfAM5ER5/N BED 8./t �� � �, �u �x,IXI ,. DB D 19TRI BUTTON BOX z 1500 GALLON (H-20 Rued) CONE/GURATION `� � - ` g 5A5 501E ABSORPTION SYSTEM, EL=34±Estimated High Groundwater � P 42 EXISTING CONTOUR RecsOe've RESERVED FOR FUTURE USE SEPl/C TANK D-f30X LEACH C1-1AMDfR,5 3a UTILITY CATCH POLE N a s �° FL=3/.O+Bottom of Test Ho% PLAN VIEW PROPOSED CONTOUR x f i� FIRE HYDRANT FLOW PROFILE DRINKING WATER WELL Q SCALE: I = 10 REPLACEMENT TREE ■ CONCRETE BOUND Z SITE LOCUS NOT TO SCALE NOT TO SCALE ASSESSORS MAP 232 PARCEL G8 REFERENCE CERT: 218274 O PLAN REFERENCE: LC 20239C (3) ��- LOT 41 rn "� LOT AREA = 1 5,8G3± S.F. rn � ZONING D15TRICT: RD-I m GROUNDWATER OVERLAY DISTRICT: GP o RPO D 29 FRONTAGE L=20.01 1 25' WIDTH O R=50G.39 40ml1. HOPELrner(5eeMote#23) 30' FRONT YARD 1 O 51DE AND REAR YARD CONSTRUCTION NOTES Qn Q � � � > 587 55 40E � IPFND. p 1 129.70' +38.9 m MAX. BLD. HEIGHT = 30' 1.)ALL WORK 5HALL CONFORM TO THE 5TATE ENVIRONMENTAL CODE,TITLE 5 (3 10 CMR 1 5.000): �` � p N o AND THE REGULATIONS OF THE LOCAL BOARD OF HEALTH, EL.4.0,0' 40 - 50 FROM MHW ............... .................... 7 2.) ANY SEPTIC SYSTEM COMPONENT INSTALLED IN A LOCATION WHERE THERE IS POTENTIAL FOR ' ( 1 2 = o . EX1`aTlN�_ey., , �-�.; Rw..;.. .. .... a.... ---i PIZO� PF O 1 BRB FND, / + ......-. i li VEHICLES OR HEAVY EQUIPMENT TO PA55 OVER IT SHALL BE DESIGNED TO WITHSTAND AN H-20 ----- _� _, 1-^• : :+ ' - - - "......i,...: ..;: '... _ _ _ TROcTu1ZE �' STRUCTURE RIOF05ED LOT COVER BY 5TRUCTURi=5= 17.5% r:..., .P ... i END OF TOWN 4 l STING 5 LOADING. IF UNDER AN IMPERVIOUS SURFACE, SYSTEM SHALL BE VENTED TO THE ATMOSPHERE. :::::::::::::::::::::::::::: . ..; 1•,.,,•_. (jp ;.•,.C,R� , _ _ EXI ---~~ 1 BRB FND. - Ur CB FND, 1 -----'�" 4_rr O A 1. O. :...... :........:. ,....,.r 1. LAYOUT III e u n ,...,...>. .....;.. °.,,<:, :,., ' i I I • FEMA ZONE: .................:....:. ... ........ ...:......:... . :..... 3.)TO MINIMIZE UNEVEN SETTLING, SEPTIC TANKS SHALL BE INSTALLED ON A STABLE I. r- 5 Sod Removal X (0 2%} �A I i I -n I MECHANICALLY-COMPACTED BASE ON SIX INCHES OF CRUSHED STONE. EL 32,0' �` \ ,;•. (See Note#2/) FIRM MAP: 2500!CO562J > p I - . MAP DATE: JULY 1 G 2014 Q I ZO ,• 4.) COVERS OVER THE INLET AND OUTLET TEES OF THE SEPTIC TANK,THE DISTRIBUTION BOX,AND �- . . . SOIL ABSORPTION SYSTEM SHALL BE RAISED TO WITHIN G"OF FINAL GRADE. LEACHINGc5 0 It- THE ! w PROPOSED ••: ;•`;',, I \ , xr FIELDS, TRENCHES, AND OTHER SOIL ABSORPTION SYSTEMS WITHOUTACCESS MANHOLES SHALL lu i 42. Bedroom 1 o f�10'mrn O HAVE AT LEAST ONE(1) INSPECTION PORT CON515TING OF PERFORATED 4"PVC PIPE PLACED O CA s, -" '' Dwelling a F + SECTION A-A 43.4 VERTICALLY TO THE BOTTOM OF THE SOIL ABSORPTION SYSTEM WITH A CAP,TIED WITH MAGNETIC ° O r4y° ° of Foundat'on j m N MARKING TAPE, ACCE55IDLE TO WITHIN 3"OF FINAL GRADE. +I J �� '� Top L_4G•4 SCALE: I" 10' O m '\ O g 4s,3 5,)PIPING SHALL CONSIST OF 4"5CHEDULE 40 PVC OR EQUIVALENT. PIPE SHALL BE LAID ON A p MINIMUM CONTINUOUS GRADE OF NOT LE-95 THAN 2% FROM THE BUILDING TO THE SEPTIC TANK, - © 45 \�' 45.0 R5 ,j/� 1 1 0 AND NOT LESS THAN I%OTHERWISE. -- - tTt r rn .' L1MIS r OF - ill IJ 1p ' _ O • .._.. _._ _.. _ ._,_. ..,_,._ __..._ __. _ `-_-- ---- _ __._.___.__ --! _. ...._ _� .� ' ,� _... 1 __ ' `� +.f .. F3J G.)DISTRIBUTION LINES FOR THE SOIL ABSORPTION SYSTEM SHALL BE 4"DIAMETER SCHEDULE 40 it � /�x'' �f -- PVC(OR EQUIVALENT) LAID AT 0.005 FT/PT. UNLESS OTHERWISE NOTED, LINES SHALL BE CAPPED �{} AT ENE) OR AS NOTED. 1�t�1y �U Existing 5eptic Components 7,) LINES FROM THE DISTRIBUTION BOX TO BE LEVEL FOR THE FIRST TWO(2) FEET BEFORE _ R/ PITCHING TO THE SOIL ABSORPTION SYSTEM. DISTRIBUTION BOX SHALL BE WATER TESTED TO r '� O +" L f .,�aICT {Septic Tank and Leach Pit) ) ASSURE EVEN DISTRIBUTION, ( r� � �` 111 Q "/� be Removed(See Note#22) OUT TO BE USED AT ALL POINTS WHERE PIPES ENTER OR LEAVE ALL CONCRETE STRUCTURES ) IN ORDER TO PROVIDE A WATERTIGHT SEAL ` rn '` � !� Q `♦ 9.) HEAVY EQUIPMENT SHALL NOT BE ALLOWED TO OPERATE OVER THE LIMITS OF THE SEWAGE 44.2 � ____' __- DISPOSAL FIELD DURING THE COURSE OF CONSTRUCTION Of THE SYSTEM. \ 42 J Proposed Ungrouted STONE CHIPS(T`(P) Stone Patio 10.) IN ACCORDANCE WITH 3 10 CMR 15.22 1, ALL SYSTEM COMPONENTS SHALL BE MARKED WITH MAGNETIC MARKING TAPE. \ - 1 1.)THERE ARE NO OTHER KNOWN WELLS WITHIN 100-OF THE PROPOSED SOIL ABSORPTION \� y,1 M: CB FN 50' ` w p0 SYSTEM. l Qom ° EL. 41.2'N 8 ��`\d 12.) FROM THE DATE OP THE INSTALLATION OF THE SOIL ABSORPTION SYSTEM UNTIL RECEIPT OF A \ 38 THE CERTIFICATE OF COMPLIANCE,THE PERIMETER SHALL BE 5TAKED AND FLAGGED TO PREVENT0 �% -JS ' - ' �.BUFFER J USE OF THE AREA THAT MAY CAUSE DAMAGE TO THE SYSTEM. A0 -„'i 3G i �. 13.) THE DESIGNER WILL NOT BE RESPONSIBLE FOR THE SYSTEM AS DESIGNED UNLE55 CONSTRUCTED AS SHOWN ON PLAN. ANY CHANGES SHALL BE APPROVED IN WRITING BY THE DESIGNER, Oy 3 14.)THE BOARD Of HEALTH REQUIRES INSPECTION OF ALL CONSTRUCTION BY AN AGENT OF THE _ � C :2 BOARD OF HEALTH AND THE DESIGNER. THE DESIGNER SHALL CERTIFY IN WRITING THAT THE 5Y5TEM DE5 I G N CALCULATIONS of /�, , ,)T N8 °35'00"�y ""'---s4=._' PAVEMENT SEWAGE DISPOSAL SYSTEM WAS INSTALLED IN ACCORDANCE WITH THE TERMS OF THE PERMIT ! I �7- 75,601 - ` AND THE APPROVED PLANS. 48 HOURS ADVANCE NOTICE 15 REQUESTED, 5EWAGFDES/GNFLOWRQUIR50 3 BPDROOMQWPL ING(g 5.) LOCATION OF UTILITIES IS APPROXIMATE AND CONTRACTOR SHALL BE RESPONSIBLE FOR /lO GPD/BDROOM=330 GPD REQU/RED(MIN 4005FJ - - ! L=40.74 \Nr "�°�Y _ oHw DETERMINING THE LOCATION OF ALL UNDERGROUND AND OVERHEAD UTILITIES PRIOR TO 5EWAG,FDP5/GNPLOWF,,0lA,9,PD: TWPNTYE/Gt!'T(28)AD5 UNlT5/NBPD R=30.00 - EDGE COMMENCEMENT OF ANY WORK. THIS INCLUDES, BUT IS NOT LIMITED TO, REQUESTS TO DIGSAFE, CONFIGURATOM �' ANY PRIVATE UTILITY COMPANIES, AND THE LOCAL WATER DEPARTMENT. OF PAVE I/t=!(3301�74)/(4.73 f72/PT)/5.0 Lf7= 18.9 AD5 UNITS EOW# �'-' I G.)CONTRACTOR SHALL VERIFY THAT ALL WA5TELINES ARE CONNECTED BY WATER TESTING lKOUIRED(4009FMIN R6 PRO140M) EOW#I i i OF `� �{ \ ` 3G,2 WITHIN THE DWELLING PRIOR TO INSTALLATION OF ANY SEPTIC COMPONENTS. 402 5FPROYDED>400 5F REQUIRED 17.) CONTRACTOR SHALL VERIFY EXISTING INVERT ELEVATIONS PRIOR TO INSTALLATION OF ANY SEPTIC SYSTEM COMPONENTS. 55PT(CTANKCAPACITY0QUIRED: 330GPDX200% =660GPDREQUIRED 18.) INSTRUMENT SURVEY CONDUCTED FOR PROPOSED WORK ONLY. SITE PLAN SHALL NOT BE 5EPT1C TANK CAFAC1TYiR0VIDED: /500GALLONSEPT/C TANK \ USED FOR STAKING, OR ANY OTHER PURPOSES, NOR SHALL IT BE USED AS A MORTGAGE PLOT A GARBAGED/5P05AL lS NOT PERMITTED WITH TH/5 DESIGN FLOW W EQUI� PLAN OR TITLE SURVEY. CONFORMANCE TO LOCAL BYLAWS 5HALL BE DETERMINED BY THE OWNER -- QUET LAQ \ PRIOR TO CONSTRUCTION. N OF M^Ssq � 19.)THIS PLAN DOES NOT CERTIFY, GUARANTEE OR WARRANTY COMPLIANCE WITH DEEDED OR c ZONING BYLAWS, SPECIFICALLY, BUT NOT LIMITED TO,SIDELINE SETBACKS AND BUILDING HEIGHT G RESTRICTIONS. OWNER 15 RESPON515LE FOR OBTAINING SUCH A DETERMINATION FROM THE C, r,� ltR N1N a APPROPRIATE AUTHORITY. 5(TE PLAN 20.)TEST HOLES COMPLETED PER STATE ENVIRONMENTAL CODE,TITLE 5• SOILS CAN BE TE5T MOLE LOGS VARIABLE AND TEST HOLE DATA 15 NO GUARANTEE OF SOIL CONDITIONS IN OTHER AREAS. IF SCALE: 1" = 20' �QR�G S�E��G� SOILS DIFFER FROM THOSE SHOWN IN THE SOILS LOGS, DESIGN ENGINEER 15 TO INSPECT THE Test Hole#1 (EL=43.C±) ESclpy�l SOILS PRIOR TO PROCEEDING WITH INSTALLATION Of ANY SEPTIC COMPONENTS, Depth Layer 5011Cla55 Soil Color Comments (ot(�tC � I 2 1.) SOIL REMOVAL: ALL FILL, TOPSOIL("A"LAYER)AND SUBSOIL("B"LAYER)SHALL BE REMOVED FOR A DISTANCE OF FIVE(5) FEET LATERALLY FROM THE 501L ABSORPTION SYSTEM DOWN TO THE 0"-22" fill CLEAN SAND LAYER(EL=37.3±). AREA TO BE BACKFiLLED WITH CLEAN SAND AND COMPACTED TO 22"-29" A FineMedium Loamy Sand I OYR 3/2 REVISION OG/13!19: REVISED SAS DIMENSIONS TO 400 SF. MINIMIZE SETTLING. 29"-42" B Medum Sandy Loam I OYR 414 42"-120" C I Meaum Sand J OYR 5/4 22.) EX15TING SEPTIC COMPONENTS TO BE REMOVED, ANY CONTAMINATED SOIL SHALL BE REMOVED FOR A D15TANCF OF FIVE(5) FEET LATERALLY FROM THE SOIL ABSORPTION SYSTEM AND REPLACED WITH CLEAN SAND. AREA TO BE COMPACTED TO MINIMIZE 5ETTLING. YLE e STEPHEN DOYLE AND ASSOCIATES Pro osed Sewa e Dls oral 5 tem Test Hole#2 (EL=41.0`) I CERTIFY THAT I AM CURRENTLY APPROVED BY THE P O BOX G2 1 p 9 p 23•) INSTALL A 40 mil HOPE LINER FOR BREAKOUT FROM EL=40,4± TO EL=3G.4± AS SHOWN ON DEPARTMENT OF ENVIRONMENTAL PROTECTION PURSUANT TO EAST FALMOUTH, MA55ACHU5ETf5 0253G 305 Holly Point Rd., Centerville, MA PLAN (SEE PLAN VIEW). Depth Layer Soil Class Sod Color Comments 3 10 CMR 15.017 TO CONDUCT SOIL EVALUATIONS AND THAT TELEPHONE: 508 540-2534 THE SOIL ANALY515 HAS BEEN PERFORMED BY ME CONSISTENT 5JD5URVEY@AOL..COM 0"-23" Fill WITH THE REQUIRED TRAINING, EXPERTISE, AND EXPERIENCE 23"-28" A Fine-Medium Loamy Sand I OYR 3/2 DESCRIBED IN 3 PO CMR 15.017. 1 FURTHER CERTIFY THAT THE 28"-44" B Medum Sandy Loam I OYR 4/4 RESULTS OF MY 501L EVALUATION AS INDICATED ON THE 20 Rascally Rabbit Road CSN 44"-1 20" CJ Medum Sand I OYR 5/4 Perc @ G2" ATTACHED SOIL EVALUATION FORM, ARE ACCURATE AND IN Marstons Mills,MA Prepared for: ACCORDANCE WITH 3 10 CMR 15,100 THROUGH 15.107 02648 P.Q. BOX201 DATE OF TESTING: 04/22/1 9 P#1594G ' 305 Holly Point LLC Brewster, ATA 02631 SOIL EVALUATOR: LINDA J. CRONIN, P.E., CSN ENGINEERING 120 Gordon Rd. Phone: (508) 896-1783 BOARD OF HEALTH AGENT: DAVE STANTON, BARNSTABLE HEALTH DEPARTMENT Linda J. Pinto, Certified Soil Evaluator Waban, MA 024G8 INSPECTION NOTE: PERCOLATION RATE: LESS THAN 2 MIN/INCH IN "C" LAYER 0 20. 40 Go ENGINEERING PRIOR TO FINAL INSPECTION BY THE ENGINEER,SYSTEM NO GROUNDWATER ENCOUNTERED A. M. Wilson Associates Inc. NEEDS TO BE COMPLETE INCLUDING BUILDUP FOR COVERS. SCALE J"=20' DATE: SCALE; DESIGN: CHECK: JOB NO: C:\CSN\AW-Holly Point\AW-Holly Point-SD5 Plan.dwg 508 420 9792/ FAX 420 9795 05/19/J 9 AS SHOWN UP JZB 2019225